Organization · Type 2 NPI
Larry D. Bloom, Dds, PA
Pediatric Dentistry · Sierra Vista, AZ
NPI number
1457422669
Active
Practice location
2273 E Wilcox Dr
Sierra Vista, AZ 85635-2755
Fax (520) 459-4145
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | D3807 (AZ) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Sierra Vista
About NPI 1457422669
Larry D. Bloom, Dds, PA's National Provider Identifier is 1457422669, issued on Nov 10, 2006. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Sierra Vista, AZ. The record was last updated on Mar 21, 2008.